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Antigen Test For A Specific Infection

Illinois rates for HCPCS 87380

A laboratory test that detects an infectious organism directly in a sample, using antibodies that latch onto part of the organism itself. Because it looks for the organism rather than the body's response to it, a positive result points to infection at the time the sample was taken.

Rates data updated October 2026.

How much does Antigen Test For A Specific Infection cost?

$22.39

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $15.14 from a physician practice, and about $37.15 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.14$12.59 to $25.12
FacilityA hospital or hospital-owned outpatient department$37.15$24.55 to $56.23

How much rates vary

Facilitymedian $37 · 10th to 90th $20 to $93Professionalmedian $15 · 10th to 90th $8 to $47
$5$10$20$50$100$200facility $37professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$28.84
Typical High
$54.95
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$13.18
Typical High
$27.54
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$5.37
Typical High
$11.22
Aetna
Setting
Professional
Modifier
None
Typical Low
$14.79
Median
$15.14
Typical High
$18.20
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$7.59
Typical High
$9.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$3.02
Typical High
$3.63
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$21.88
Median
$35.48
Typical High
$177.83
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$12.59
Typical High
$14.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$20.42
Median
$40.74
Typical High
$75.86
Cigna
Setting
Professional
Modifier
None
Typical Low
$9.55
Median
$21.88
Typical High
$33.11
Hally Health
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$31.62
Typical High
$141.25
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Molina
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$22.91
United
Setting
Facility
Modifier
None
Typical Low
$18.20
Median
$21.88
Typical High
$22.91
United
Setting
Professional
Modifier
None
Typical Low
$7.76
Median
$12.59
Typical High
$19.95

Where Illinois sits

The same service costs 4.1 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 10th of 51

$22.39

KS $42.66AL $10.47

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.